Burns Case Study (1)
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Capella University *
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0000
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Medicine
Date
Feb 20, 2024
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docx
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2
Uploaded by BailiffCaterpillar4078
1
Burn Case Study
Scenario You are working the day shift on the medical-surgical unit in a small rural community hospital. Your assignment includes an 18-year-old woman, A.N., admitted the previous night. A.N. was caught in a house fire and sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. 1. A.N. is undergoing burn fluid resuscitation using the standard Baxter (Parkland) formula. She was burned at 0200 and admitted at 0400. She weighs 110 pounds. Calculate her fluid requirements, specify the fluids used in the Baxter (Parkland) formula, specify how much will be given, and indicate what time intervals will be used. 2. A.N. was sleeping when the fire started and managed to make her way out of the
house through thick smoke. You are concerned about possible smoke inhalation. What assessment findings would corroborate this concern? 3. A.N. is concerned about visible scars. What will you tell her to allay her fears? 4. A.N. is in severe pain. What is the drug of choice for pain relief following burn injury, and how should it be given?
2
Burn Case Study
5. A.N.’s burns are to be treated by the open method with topical application of silver sulfadiazine (Silvadene). What is the major drawback to this method of treatment? 6. A special burn diet is ordered for A.N. She has always gained weight easily and is concerned about the size of the portions. What diet-related teaching will you provide? 7. Tissues under and around A.N.’s burns are severely swollen. She looks at you with tears in her eyes and asks, “Will they stay this way?” What is your answer? 8. After significant burn injury, the patient is at high risk for infection. What measures will you institute to prevent this?
9. A.N. has one area of circumferential burns on her right lower leg. What complication is she in danger of developing, and how will you monitor for it?
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